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1962198366
EDWARD JENNINGS COFFMAN
GREENVILLE, NC
NPI
1962198366
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2023-04-18
Last Update Date
2023-04-18
Business Address
EDWARD JENNINGS COFFMAN
1330 E ARLINGTON BLVD STE A
GREENVILLE, NC 27858-7850
Phone number: 252-318-7552
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Mailing Address
EDWARD JENNINGS COFFMAN
557 WESTMINSTER CIR
GREENVILLE, NC 27858-9602
Phone number: 252-565-2452
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PROVIDENTIAL CARE: CENTER FOR MENTAL WELLNESS, PLLC